Healthcare Provider Details

I. General information

NPI: 1295682995
Provider Name (Legal Business Name): NOVANT HEALTH STOKES MEDICAL CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2026
Last Update Date: 03/13/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 W KING ST
KING NC
27021-9170
US

IV. Provider business mailing address

402 W KING ST
KING NC
27021-9170
US

V. Phone/Fax

Practice location:
  • Phone: 336-983-9617
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BEVERLY J EUART
Title or Position: FACILITY CREDENTIALING
Credential:
Phone: 336-277-8757